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This study will prospectively examine the effect of screen time on recovery from concussion. Patients 12 to 25 years of age presenting to the ED with a concussion will be randomized to allow for screen time as tolerated or to abstain from screen time for the first 48 hours of recovery. The amount of screen time use and duration of concussive symptoms will be assessed through daily surveys and a daily post-concussive symptom score (PCSS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Screen time permitted | Active Comparator | Concussion sufferers permitted screen time for first 48 hours of recovery |
|
| Screen time abstain | Active Comparator | Concussion sufferers asked to abstain from screen time for first 48 hours of recovery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Screen time permitted | Behavioral | Cohort will not be directed to abstain from screen time |
|
| Measure | Description | Time Frame |
|---|---|---|
| Duration of concussive symptoms | The average number of days from initial concussion diagnosis until participant has a Post Concussive Symptom Scale Score (PCSS) of less than 7 | From date of randomization until PCSS of less than 7 is achieved or up to 10 days, whichever comes first. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of specific symptoms (Day 1-3) | The average total number of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant. | Day 1 to day 3 |
| Number of specific symptoms each day (Day 4-10) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Theodore Macnow, MD | UMass Memorial Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UMass Memorial Medical Center | Worcester | Massachusetts | 01655 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34491285 | Derived | Macnow T, Curran T, Tolliday C, Martin K, McCarthy M, Ayturk D, Babu KM, Mannix R. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. 2021 Nov 1;175(11):1124-1131. doi: 10.1001/jamapediatrics.2021.2782. |
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| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Screen Time Abstain | Behavioral | Cohort will be directed to abstain from screen time |
|
The average total number of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant.
| Day 4 to day 10 |
| Severity of specific symptoms (Day 1-3) | The average severity of symptoms as reported on the Post Concussive Symptom Scale (PCSS) by participant. | Day 1 to day 3 |
| Severity of specific symptoms (Day 4-10) | The average severity of symptoms as reported daily by participant on the Post Concussive Symptom Scale (PCSS) by participant. | Day 4 to day 10 |
| Amount of screen time use | Average minutes of screen time (video games, television, computer, smartphone) as self-reported by participant on questionnaire. | Randomization to 48 hours. |
| Days until return to school/work and sports | The average number of days until the participant is able to return to routine activities such as school/work and sports as self-reported on questionnaire. | From date of randomization to return to school/work and sports, up to day 10. |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |